Living Tree Medical Group
NPI 1639754583ActiveOrganization· Family Medicine· Logan, UT
Family Medicine in Logan, Utah, registered in NPPES in March 2021. The authorized official on file is Kris Coleman, Coc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639754583 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2021 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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